Club Membership Registration Form

Club Membership Application

Complete Form Below
Name*

First NameLast Name
E-mail*
example@example.com
Phone Number*
Birth Date*

DayMonthYear
Area of Residence *
City / Suburb
Alfa Romeo (4C)AlpineAriel (Atom)Aston MartinAudi (R8, RS6, Avant, RSQ8)BentleyBMW (i8, M4 GTS/DTM)BugattiChevrolet (Corvette C5 / Higher)De TomasoDeLoreanDodge (Viper)FerrariHonda (NSX)Jaguar (F-TYPE , XKR/-S) *No SUVSKoenigseggLamborghiniLexus (LFA)Lotus (Evora, Exige, 3-Eleven, Elise Cup)Maserati (GranTurismo, GranCabrio)Mazda (RX7, Series 6-8)McLarenMercedes (AMG GT, GT R Pro, GTS, SLS AND SLR)Nissan (R34, GTR R35)NoblePaganiPorsche - (Excluding : Cayenne, Macan, Boxter, Panamera)Rolls RoyceRimacShelby (GT Super Snake)Toyota (MK4 SUPRA)TVR*Other (specify below)
Model and Year: *
(Supercars intended for club use)
Upload Image of Vehicle: *

(x1 Photo with visible registration plate)
Cancelof
Employment Industry:*
YesNo
YesNo
PhoneEmailAny
Club Member / FriendInstagram / FacebookGoogleOther
Membership Rules
1. Membership is available to anyone 18 years of age or older, provided they have passed the application process which includes an informal interview.

2. Any actions that bring disrepute or disgrace to the club, including but not limited to participation in illegal activities, are strictly prohibited.

Failure to comply with these standards may result in suspension or termination.
POPIA Consent

By submitting your personal information on this form, you consent to the collection, use, and processing of your personal data in accordance with the Protection of Personal Information Act (POPIA). Your information will be used only for the purposes of processing your application and related services, and it will not be shared with third parties without your consent, unless required by law. You may request access to, correction, or deletion of your information at any time.
I have read, understood, and accepted the rules for membership.
Should be Empty:

Club Membership Application

Membership Rules